Lauren E Gusman, LPCC in Fairborn, OH - Medicare Counselor Provider

Lauren E Gusman, LPCC is a medicare enrolled "Counselor - Professional" provider in Fairborn, Ohio. Her current practice location is 1016 Rainbow Ct, Fairborn, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 641-3401.

Lauren E Gusman is licensed to practice in Ohio (license number E1800616) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376921015.

Contact Information

	Lauren E Gusman, LPCC
	1016 Rainbow Ct, Fairborn, OH 45324-6365
	(937) 641-3401
	(937) 641-3046

Map and Direction

Healthcare Provider's Profile

Full Name	Lauren E Gusman
Gender	Female
Speciality	Counselor - Professional
Location	1016 Rainbow Ct, Fairborn, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376921015
Provider Enumeration Date: 05/14/2015
Last Update Date: 06/16/2026

Medicare PECOS Information:

PECOS PAC ID: 8628421880
Enrollment ID: I20240124003284

Medical Identifiers

Medical identifiers for Lauren E Gusman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376921015	NPI	-	NPPES
0268607	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E1800616 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lauren E Gusman allows following entities to bill medicare on her behalf.

Entity Name	Tcn Behavioral Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336118256 PECOS PAC ID: 8224011135 Enrollment ID: O20040611000055

Entity Name	National Youth Advocate Program Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679721906 PECOS PAC ID: 7719258292 Enrollment ID: O20170801003093

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lauren E Gusman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lauren E Gusman, LPCC Po Box 933421, Cleveland, OH 44193-0039 Ph: (937) 641-5072	Lauren E Gusman, LPCC 1016 Rainbow Ct, Fairborn, OH 45324-6365 Ph: (937) 641-3401

Reviews and Comments

Counselor in Fairborn, OH

Sonia M Rapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-262-3508 Fax: 937-318-8918
Bailey R Mcritchie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 566 E Dayton Yellow Springs Rd, Fairborn, OH 45324 Phone: 937-390-3800
Syreeta A Peacock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 E Dayton Yellow Springs Rd, Fairborn, OH 45324 Phone: 937-754-0528
Kyla Elswick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 W Funderburg Rd, Fairborn, OH 45324 Phone: 937-638-4483
Tyshawna Frazer-new, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 Laguna Ct Unit 206, Fairborn, OH 45324 Phone: 937-532-8624
Jason Keating, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1082 Whitetail Dr, Fairborn, OH 45324 Phone: 614-787-3247
Sophia Alridge, BS, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 Phone: 937-701-6631

Lauren E Gusman, LPCC - Medicare Counselor in Fairborn, OH